Individual
DR. ANDREW JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 SOUTH MAIN STREET, SUITE 4, CHELSEA, MI 48118
(734) 475-9953
(734) 475-9063
Mailing address
1200 SOUTH MAIN STREET, SUITE 4, CHELSEA, MI 48118
(734) 475-9953
(734) 475-9063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004866
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004866
MI
152WP0200X
Pediatric Optometrist
4901004866
MI
Other
Enumeration date
12/01/2010
Last updated
08/18/2021
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